Chapter 27: Assessing the Dying Patient

Chapter 27: Assessing the Dying Patient

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Multiple Choice

Identify the choice that best completes the statement or answers the question.

 

____     1.   The nurse educator is teaching a group of students about death. Which statement regarding how death is viewed in the United States is accurate?

1)	“Death means that the days are numbered.”
2)	“Death means that a bad spell has been cast.”
3)	“Death is viewed as a process requiring hospitalization.”
4)	“Death is viewed as a failure of the healthcare system.”

 

 

____     2.   Which statement best describes the timing of death?

1)	“Death occurs after a long battle with cancer.”
2)	“Death can occur as a result of accident or injury.”
3)	“Death can occur anytime during the life cycle.”
4)	“Death is not grieved when it occurs after a long life.”

 

 

____     3.   In which circumstance can Kubler-Ross’ stages of grief be applied most appropriately?

1)	Death of a child
2)	Accidental death
3)	Suicide
4)	Terminal illness

 

 

____     4.   The nurse is providing care to a patient who has just learned of a terminal illness. Which resource is most appropriate for the nurse to use in this situation?

1)	Hospital chaplain
2)	Primary healthcare practitioner
3)	Hospice provider
4)	Physical therapist

 

 

____     5.   The nurse is providing care to a patient who has just learned about the diagnosis of a terminal illness. Which response does the nurse anticipate from the patient?

1)	Anger
2)	Depression
3)	Acceptance
4)	Bargaining

 

Answer Section

 

MULTIPLE CHOICE

 

1. ANS:  4

Chapter number and title: 27, Assessing the Dying Patient

Chapter learning objective: N/A

Chapter page reference: 599

Integrated Processes: Teaching/Learning

Client Need: Psychosocial Integrity

Cognitive level: Comprehension [Understanding]

Concept: Grief and Loss

Difficulty: Easy

	Feedback
1	This statement is not accurate in regards to how the United States views death.
2	This statement is not accurate in regards to how the United States views death.
3	This statement is not accurate in regards to how the United States views death.
4	In the United States we tend to see death as a failure of the healthcare system, as if death were a choice.

 

 

PTS:   1                    CON:  Grief and Loss

 

2. ANS:  3

Chapter number and title: 27, Assessing the Dying Patient

Chapter learning objective: N/A

Chapter page reference: 602

Integrated Processes: Teaching/Learning

Client Need: Psychosocial Integrity

Cognitive level: Comprehension [Understanding]

Concept: Grief and Loss

Difficulty: Easy

	Feedback
1	This statement is not the best description of death.
2	This statement is not the best description of death.
3	The timing of death can occur any time during the life cycle.
4	This statement is not the best description of death.

 

 

PTS:   1                    CON:  Grief and Loss

 

3. ANS:  4

Chapter number and title: 27, Assessing the Dying Patient

Chapter learning objective: N/A

Chapter page reference: 602

Integrated Processes: Caring

Client Need: Psychosocial Integrity

Cognitive level: Application [Applying]

Concept: Grief and Loss

Difficulty: Moderate

	Feedback
1	Kubler-Ross’ stages of grief were not intended to be applied to the death of a child.
2	Kubler-Ross’ stages of grief were not intended to be applied to accidental death.
3	Kubler-Ross’ stages of grief were not intended to be applied to suicide.
4	Kubler-Ross has aptly identified the stages of grief that patients and families go through when diagnosed with terminal illness.

 

 

PTS:   1                    CON:  Grief and Loss

 

4. ANS:  3

Chapter number and title: 27, Assessing the Dying Patient

Chapter learning objective: N/A

Chapter page reference: 602

Integrated Processes: Nursing Process: Planning

Client Need: Psychosocial Integrity

Cognitive level: Application [Applying]

Concept: Grief and Loss

Difficulty: Moderate

	Feedback
1	Although a hospital chaplain may be called upon, this is not the most appropriate resource for the nurse caring for a terminal patient.
2	Although a primary care provider may be called upon, this is not the most appropriate resource for the nurse caring for a terminal patient.
3	There are hospice agencies in all communities across the United States (and in most countries around the world) that can be called to help nurses in all settings to care for dying patients.
4	A physical therapist is not an appropriate resource for the nurse caring for a terminal patient.

 

 

PTS:   1                    CON:  Grief and Loss

 

5. ANS:  1

Chapter number and title: 27, Assessing the Dying Patient

Chapter learning objective: N/A

Chapter page reference: 602

Integrated Processes: Nursing Process: Assessment

Client Need: Psychosocial Integrity

Cognitive level: Application [Applying]

Concept: Grief and Loss, Assessment

Difficulty: Moderate

	Feedback
1	During stages I and II, patient and family coping mechanisms include denial, isolation, and anger.  These are expected upon learning of a terminal diagnosis.
2	Depression is not an expected coping mechanism expected by the nurse at this time.
3	Acceptance is not an expected coping mechanism expected by the nurse at this time.
4	Bargaining is not an expected coping mechanism expected by the nurse at this time.

 

 

PTS:   1                    CON:  Grief and Loss | Assessment